Provider Demographics
NPI:1821697574
Name:SULESKI, SUSAN HUNTER (LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:HUNTER
Last Name:SULESKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3791 BAKERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9737
Mailing Address - Country:US
Mailing Address - Phone:412-478-3945
Mailing Address - Fax:
Practice Address - Street 1:3791 BAKERSTOWN RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9737
Practice Address - Country:US
Practice Address - Phone:412-478-3945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA003506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA003506OtherLICENSE